42D2292046 CLIA NUMBER - MCLEOD ORTHOPEDICS/PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 42D2292046
  • Facility Name: MCLEOD ORTHOPEDICS/PAIN MANAGEMENT
  • Facility Address: 115 MCLEOD HEALTH BLVD, BLDG 3, SUITE 301
    MYRTLE BEACH, SC
    ZIP 29579
  • Facility Phone: 843 366-3853
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAINI KUSHAGRA
  • NPI Number: 1194090720
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2292046
LAB Type Physician Office
Facility Name MCLEOD ORTHOPEDICS/PAIN MANAGEMENT
Street 115 MCLEOD HEALTH BLVD, BLDG 3, SUITE 301
City MYRTLE BEACH
State SC
ZIP 29579
Phone 843 366-3853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director DR. MAINI KUSHAGRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025